Individual provider Active NPI

Trevor Jones, DC

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1205726759
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5214 Issued in SC
Practice address
5001 N Kings Hwy Ste 204
Myrtle Beach, SC 29577-2556
Phone
(843) 999-1805
NPI assigned
Jul 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5214 SC Primary

Addresses

Primary practice location

5001 N Kings Hwy Ste 204
Myrtle Beach, SC 29577-2556

Mailing address

1010 W Mack Ave
Olney, IL 62450-3706
Phone (618) 838-2319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804001502 SC Practitioner - Chiropractic 4981112703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5214SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kru Chiropractic & Wellness Chiropractor CurrentSince Jun 27, 2025 Accepting new patients

Locations

5001 N Kings Hwy
Ste 204
Myrtle Beach, SC 29577
Phone (843) 999-1805

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1205726759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W MACK AVE",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624503706",
            "telephone_number": "618-838-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N KINGS HWY STE 204",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772556",
            "telephone_number": "843-999-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TREVOR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.